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New FutureScripts® Preferred Pharmacy Network

December 2, 2013

Starting in 2014, IBC will introduce a new pharmacy network called the FutureScripts Preferred Pharmacy Network. This network is a smaller version of our full FutureScripts pharmacy network. The FutureScripts Preferred Pharmacy Network allows us to offer members a lower premium. With this preferred network, members will continue to have access to more than 50,000 pharmacies, such as CVS, Wal-Mart, and Target, in addition to independent pharmacies. The FutureScripts Preferred Pharmacy Network specifically excludes Walgreens and Rite Aid. The FutureScripts Preferred Pharmacy Network is offered with the following base plans: Keystone HMO Bronze Keystone HMO Gold Proactive Keystone HMO Silver Proactive Personal Choice Catastrophic Personal Choice PPO Bronze Personal Choice PPO Bronze Reserve Pharmacies that are not part of the FutureScripts Preferred Pharmacy Network (i.e., Walgreens and Rite Aid) are considered non-participating or out-of-network for members who are covered under these products. If a member elects to get a prescription filled at Walgreens or Rite Aid, it will be considered an out-of-network claim and the member will be responsible for the total cost of their prescription drug(s) at the time of purchase. Some members can submit a paper claim for partial reimbursement. If you have any questions about this new pharmacy network, please call Customer Service at 1-800-ASK-BLUE.

Independence Blue Cross offers products directly, through its subsidiaries Keystone Health Plan East and QCC Insurance Company, and with Highmark Blue Shield — independent licensees of the Blue Cross and Blue Shield Association.

FutureScripts® and FutureScripts® Secure are independent companies that provide pharmacy benefits management services.

The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans.


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